IN
ST
ALL
ATI
O
N, MAI
NTE
NAN
C
E AN
D O
P
ER
ATI
O
N C
H
EC
K R
ECO
R
D
Location:
Installation Date:
Installation T
est Duration:
Installed By:
Month
Test
Year:
Year:
Year:
Year:
Year:
Sign
Date
Sign
Date
Sign
Date
Sign
Date
Sign
Date
1
Shor
t
2
Shor
t
3
Shor
t
4
Shor
t
5
Shor
t
6
1 hr endurance
7
Shor
t
8
Shor
t
9
Shor
t
10
Shor
t
11
Shor
t
12
3 hr endurance